healthcosts.net
Injection, cangrelor at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$1,943.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$3,239.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$11.10 with Highmark BCBS of PA vs $57.60 with Health Payors Organization — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $11.10 | ↓ -99% |
| UPMC Health Plan | Commercial | $16.49 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $16.66 | ↓ -99% |
| Aetna | Neighborhood Network | $17.86 | ↓ -99% |
| Aetna | Home Depot Employer Group | $19.49 | ↓ -99% |
| Aetna | NBR ASO/FI | $19.84 | ↓ -99% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $20.50 | ↓ -99% |
| UPMC Health Plan | CHIP | $20.89 | ↓ -99% |
| Aetna of PA | Medicare | $20.98 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $21.58 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $21.58 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $21.58 | ↓ -99% |
| Cigna | New Business ASO | $21.76 | ↓ -99% |
| Aetna | Medicare | $21.98 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $22.23 | ↓ -99% |
| Bravo | Medicare | $22.40 | ↓ -99% |
| Aetna | EBR FI | $24.32 | ↓ -99% |
| Cigna | Commercial | $25.60 | ↓ -99% |
| Aetna | EBR ASO | $25.60 | ↓ -99% |
| Coventry/First Health | Commercial | $28.16 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $31.58 | ↓ -98% |
| InterGroup | PPO | $32.00 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $32.47 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $35.20 | ↓ -98% |
| Cigna Behavioral Health | Commercial | $38.40 | ↓ -98% |
| Highmark BCBS of PA | Managed Care | $42.29 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Indemnity | $43.49 | ↓ -98% |
| Private Health Care Systems | PPO | $48.00 | ↓ -98% |
| InterGroup | Approved National Affiliated PPO Business | $51.20 | ↓ -97% |
| American Healthcare Group | Commercial | $51.20 | ↓ -97% |
| National Provider Network | PPO | $52.48 | ↓ -97% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $57.60 | ↓ -97% |
| Health Payors Organization | Commercial | $57.60 | ↓ -97% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection, cangrelor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,314.80 | $11.20 – $62.05 |
| UPMC Presbyterian | Pittsburgh | $3,087.60 | $11.20 – $87.55 |
| UPMC St. Margaret | Pittsburgh | not published | $11.20 – $1,795.54 |
| UPMC Somerset | Somerset | $572.40 | $10.98 – $561.75 |
| UPMC Northwest | Seneca | not published | $18.12 – $1,795.54 |